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Research Article

Cholinergic Ligand–dependent Modulation of Oxidative Phosphorylation Coupling in Digitonin-permeabilized BE(2)-C Neuroblastoma Cells

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DOI:

10.3791/69789

April 28th, 2026

In This Article

Summary

We present a protocol to selectively permeabilize plasma membrane, enabling targeted delivery of substrates and inhibitors to assess mitochondrial oxidative phosphorylation (OXPHOS) in cultured cells, overcoming plasma membrane transport barriers that typically hinder such analysis. Using this technique, we demonstrated how OXPHOS function is modulated by muscarinic agonists and antagonists.

Abstract

The objective of this study was to assess oxidative phosphorylation (OXPHOS) function in cultured cells using defined substrate–inhibitor combinations while retaining cellular structure and cytosolic context lost in isolated mitochondrial preparations. Because intact cells are poorly permeable to several Krebs cycle intermediates, direct assessment of substrate-supported respiration through specific electron transport chain (ETC) entry points is limited. To overcome this, we applied digitonin-mediated selective plasma membrane permeabilization and performed extracellular flux analyzer–based coupling and electron flow assays in BE(2)-C neuroblastoma cells. To determine cell-type dependence, digitonin was empirically titrated in HEK293 cells and primary rat dorsal root ganglion (DRG) neurons using succinate + rotenone to isolate Complex II–IV–driven respiration.

Succinate-supported respiration with Complex I inhibition showed increased Complex II–IV–driven oxygen (O₂) consumption in permeabilized compared with non-permeabilized cells, consistent with improved access of a membrane-impermeant substrate to mitochondria. In contrast, respiration supported by substrates that enter via endogenous transport pathways (e.g., pyruvate/malate) showed smaller differences between conditions. Using this platform to test muscarinic ligands, we observed agonist- versus antagonist-associated differences in O₂ consumption in the coupling assay, whereas the electron flow assay revealed minimal ligand-associated effects under the tested conditions. These findings indicate that detectable ligand effects were more prominent at the level of coupling-defined respiratory states than maximal electron transfer capacity. Overall, selective permeabilization expands substrate accessibility in cultured-cell bioenergetic assays and enables analysis of pharmacologic modulation of mitochondrial respiration.

Introduction

Malfunction or reprogramming of mitochondrial energy metabolism is central to a wide spectrum of disorders, including neurodegeneration, cancer, inflammatory diseases, cardiometabolic conditions, and various genetic disorders. To better understand the role of mitochondrial metabolism in disease pathogenesis, several analytical strategies have been developed. These include measurements of O2 consumption rate (OCR), extracellular acidification rate (ECAR), ATP quantification, substrate utilization, profiling or Krebs cycle metabolite analysis, and isotope tracing1. Among these techniqu....

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Protocol

1. Thawing and initial plating

NOTE: The base medium for BE(2)-C cells is a 1:1 mixture of ATCC-formulated Eagle's Minimum Essential Medium and F12 Medium, supplemented with 10% fetal bovine serum (FBS).

  1. Thaw frozen BE(2)-C cells from a cryovial in a 37 °C water bath. Once thawed, centrifuge the cells 200 × g for 5 min to remove the cryoprotectant.
  2. Resuspend the cell pellet in complete growth medium and plate the cells in a 10 cm cell culture dish. Incubate the culture at 37 °C in a humidified incubator with 5% CO₂ in air until the cells reach sub-confluency.

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Results

Optimization of digitonin concentration for BE(2) C Cell permeabilization in coupling assay
At the beginning of this protocol, we standardized the optimal digitonin concentration required for effective cell permeabilization without compromising mitochondrial respiration. In this protocol, we tested 5 µM and 10 µM digitonin as starting concentrations and performed a coupling assay. This assay evaluates the degree of coupling between the ETC and the OXPHOS machinery, allowing us to distinguish between .......

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Discussion

This study introduces a rapid and cost-effective protocol for evaluating muscarinic ligand-mediated modulation of OXPHOS in cultured neuroblastoma cells. By employing the selective plasma membrane permeabilizer digitonin, in combination with defined substrate-inhibitor pairs, we enabled targeted delivery of metabolic substrates such as succinate directly to mitochondria in situ. This approach overcomes the limitations of intact cell membranes, which typically restrict access to key TCA cycle intermediates. Impor.......

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Disclosures

The authors have no conflicts of interest to declare.

Acknowledgements

The authors acknowledge the St. Boniface Hospital Research, University of Manitoba, Winnipeg, Canada; and Nova Southeastern University (NSU), Fort Lauderdale, Florida, USA, for providing funding and infrastructure support. The authors also acknowledge Alzo Biosciences, San Diego, California and Capillus, Miami, Florida, USA for funding support.

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
Acetylcholine chlorideMilliporeSigmaA6625Muscarinic agonist
ADPMP Biomedicals, IncICN19014901Electron acceptor, substrate for ATP synthesis.
Antimycin AAAJ63522MAThermo ScientificInhibits mitochondrial complex III
AtropineMilliporeSigma1044990Muscarinic antagonist
Be2C cellsAmerican Type Culture CollectionCRL-2268A neuroblast cell that was isolated from the brain of a male patient with neuroblastoma, express muscarinic receptor
DigitoninMilliporeSigmaD141Mild detergent, membrane permeabilizer.
D-MannitolThermo Scientific ChemicalsAA3334236A non-metabolizable sugar alcohol, used for osmotic stabilization and membrane protection
EGTAMilliporeSigmaE0396Calcium Chelation, Prevents activation of calcium-dependent proteases and other enzymes that could degrade mitochondrial proteins.
fatty acid-free BSAMilliporeSigma126575Prevents uncontrolled fatty acid effects, stabilizes mitochondria
FCCPCayman ChemicalNC0904863A protonophore and uncoupler of oxidative phosphorylation in mitochondria
HEPESMilliporeSigma391340pH buffering, compatibility with mitochondrial function
L-AscorbateTCI AmericaA053925GTCA cycle intermediate, substrate of OXPHOS
Magnesium chlorideMilliporeSigmaM8266For ionic balance, support for enzymatic activity
N1,N1,N1,N1-tetramethyl-1,4-phenylene diamine (TMPD)Electron Donor to Cytochrome c, assessment of complex IV function by bypassing Complex I and II, TMPD/ascorbate enables direct measurement of Complex IV-dependent oxygen consumption
OligomycinMilliporeSigma1404-19-9Inhibits mitochondrial ATP synthesis, Complex V
Pirenzepine dihydrochlorideMilliporeSigmaP7412Muscarinic biased agonist
Pyruvic acidThermo Scientific ChemicalsAC132155000TCA cycle substrate
RotenoneMilliporeSigma557368Inhibits mitochondrial complex I
Seahorse XF24 V7 PS Cell Culture MicroplatesAgilent102340-100Cell Culture Microplates
Seahorse XFe24 AnalyzerAgilentS7801BRAgilent Seahorse XFe24 Analyzers measure the oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) of live cells in a 24-well plate format.
Succinic acidFisher ChemicalAC158742500TCA cycle intermediate, substrate of OXPHOS
XFe24 sensor cartridge calibration bufferAgilent102340100PBS buffer pH 7.2
XFe24 sensor cartridgesAgilent102340-100sensor for OCR and ECAR measurement

References

  1. Yin, Y., Shen, H. Common methods in mitochondrial research (review). Int J Mol Med. 50 (4), 148(2022).
  2. Walsh, M. A., Musci, R. V., Jacobs, R. A., Hamilton, K. L. A practical perspective on how to ....

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Tags

Cholinergic LigandsDigitonin PermeabilizationBE(2)-C CellsExtracellular Flux AnalyzerMitochondrial RespirationComplex II RespirationPlasma Membrane PermeabilizationElectron Transport Chain